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目的了解农村已婚妇女子宫肌瘤的患病情况,探讨农村子宫肌瘤发病的相关危险因素。方法 1在开展农村妇女病普查、普治的同时,采取分层整群随机抽样的方法,对农村已婚育龄妇女子宫肌瘤的患病状况进行调查。2对各种研究因素进行多因素条件Logistic回归分析,分析并找出与子宫肌瘤发病相关的危险因素。结果 1农村妇女子宫肌瘤的平均患病率为6.69%。2子宫肌瘤发病多集中在30~50岁,发病人数占85.63%;不同年龄组的子宫肌瘤患病率经统计学检测差异有统计学意义(P<0.05)。3子宫肌瘤发病的危险因素依次为宫颈炎症、人工流产、家族遗传史、盆腔炎、年龄、服避孕药、重度体力劳动、高脂饮食、精神创伤史、心情抑郁和农药接触史。结论农村已婚妇女子宫肌瘤的发病与宫颈炎症、人工流产、家族遗传史、盆腔炎、年龄、服避孕药、重度体力劳动、高脂饮食、精神创伤史、心情抑郁和农药接触史有关。
Objective To understand the prevalence of uterine fibroids in rural married women and explore the related risk factors of rural uterine fibroids. Method 1 In carrying out the survey of women’s disease in rural areas, the same time, stratified cluster random sampling method to investigate the prevalence of uterine fibroids in rural married women of childbearing age. 2 pairs of various research factors multivariate conditional Logistic regression analysis, and identify and risk factors associated with the incidence of uterine fibroids. Results 1 The average prevalence of uterine fibroids in rural women was 6.69%. 2 The incidence of uterine fibroids mostly concentrated in the 30 to 50 years old, the number of cases accounted for 85.63%; the prevalence of uterine fibroids in different age groups by statistical tests were statistically significant (P <0.05). 3 The incidence of uterine fibroids risk factors were cervical inflammation, abortion, family history, pelvic inflammatory disease, age, taking birth control pills, severe physical labor, high fat diet, trauma history, depression and history of pesticide exposure. Conclusions The incidence of uterine fibroids in rural married women is related to the history of cervical inflammation, induced abortion, family history, pelvic inflammatory disease, age, oral contraceptives, severe manual labor, high fat diet, trauma history, depression and pesticide exposure history.